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Russell L Ellis

Sports Medicine

1103 16th Ave Se
Decatur , Alabama 35601-3595

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Russell L Ellis

Sports Medicine

1103 16th Ave Se
Decatur , Alabama 35601-3595

Write a Review Save Call

Russell L Ellis

Sports Medicine

1103 16th Ave Se
Decatur , Alabama 35601-3595

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1103 16th Ave Se Decatur , Alabama 35601-3595

First Address

  • Russell L Ellis
  • 1103 16th Ave Se
  • Decatur, AL
  • Zip : 35601-3595
  • Phone :

Second Address

  • Russell L Ellis
  • 1103 16th Ave Se
  • Decatur, AL
  • Zip : 35601-3595
  • Phone : (256) 350-0362

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FAQs


Where did Russell L Ellis attend graduate school?

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Where did Russell L Ellis do his residency?

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Where did Russell L Ellis do his fellowship?

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Is Russell L Ellis board certified?

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What type of doctor is Russell L Ellis

Sports Medicine

In what state does Russell L Ellis practice in?

Alabama

Where is Russell L Ellis ’s practice located?

1103 16th Ave Se , Decatur, Alabama, 35601-3595

What is Russell L Ellis ’s gender?

Male

Is Russell L Ellis a sole practitioner?

No

Is Russell L Ellis accepting new patients?

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What languages does Russell L Ellis speak?

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Does Russell L Ellis accept insurance?

Yes, Russell L Ellis accepts insurance

Does Russell L Ellis offers telemedicine?

Russell L Ellis has not indicated if he offers telemedicine

What is Russell L Ellis ’s professional license number?

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What is Russell L Ellis ’s NPI number?

1134292766

Does Russell L Ellis have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 00022020 AL
Y 213ES0000X Sports Medicine 00022020 AL

National Provider Identifier

NPI 1134292766
Provider Name Russell L Ellis
First Address Decatur, AL 35601-3595
Second Address Decatur, AL 35601-3595
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/11/2006
Last Update Date 22/10/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
51507394 BLUECROSS BLUESHIELD OF A (01) AL
H46954 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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